No office rate
Choose 27702 when a total ankle prosthesis is implanted. Code 27700 represents ankle arthroplasty without the total ankle implant service.
On this page
CMS RVU26D · Effective 2026-10-01
27702 Ankle replacement Medicare reimbursement rates
Reports total ankle arthroplasty with an implanted prosthesis, commonly performed by an orthopedic foot and ankle surgeon for painful end-stage ankle arthritis. Compare 27702 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 27702?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 27702 pays more and less
Orthopedic surgery
About 27702: Total ankle replacement with implant
Reports total ankle arthroplasty with an implanted prosthesis, commonly performed by an orthopedic foot and ankle surgeon for painful end-stage ankle arthritis.
This service is a total ankle replacement: the surgeon prepares the ankle joint surfaces and places an implant to restore joint function. It is commonly performed by an orthopedic foot and ankle surgeon in an operating room for severe ankle arthritis, including post-traumatic arthritis, when joint replacement is selected. The operative report should establish that an ankle prosthesis was implanted and identify the side treated.
Report this code for the primary total ankle replacement, not for revision surgery or removal of an existing implant alone. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral reporting with modifier 50 is paid at 150%. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 27702
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.06 · 53%
- Practice expense (office) RVU9.80 · 37%
- Malpractice RVU2.64 · 10%
5.7K
Medicare services in 2024 · #1783 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
27702 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
27702 describes primary total ankle replacement. 27703 is for revision of a total ankle replacement, including implant removal.
No office rate
27704 reports removal of an ankle implant alone; it is not the primary total ankle replacement reported with 27702.
See how rates vary across the country
27702 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 27702 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $805.94 |
| Alaska* | Office Unavailable | Facility $1101.62 |
| Arizona | Office Unavailable | Facility $862.28 |
| Arkansas | Office Unavailable | Facility $796.20 |
| Atlanta | Office Unavailable | Facility $909.49 |
| Austin | Office Unavailable | Facility $895.00 |
| Bakersfield | Office Unavailable | Facility $890.99 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $937.43 |
| Beaumont | Office Unavailable | Facility $849.40 |
| Brazoria | Office Unavailable | Facility $866.54 |
| Chicago | Office Unavailable | Facility $1004.24 |
| Chico | Office Unavailable | Facility $883.62 |
| Colorado | Office Unavailable | Facility $892.40 |
| Connecticut | Office Unavailable | Facility $938.24 |
| Dallas | Office Unavailable | Facility $875.52 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $978.71 |
| Delaware | Office Unavailable | Facility $874.64 |
| Detroit | Office Unavailable | Facility $934.16 |
| East St. Louis | Office Unavailable | Facility $948.35 |
| El Centro | Office Unavailable | Facility $884.06 |
| Fort Lauderdale | Office Unavailable | Facility $960.63 |
| Fort Worth | Office Unavailable | Facility $873.39 |
| Fresno | Office Unavailable | Facility $883.62 |
| Galveston | Office Unavailable | Facility $871.42 |
| Hanford-Corcoran | Office Unavailable | Facility $883.62 |
| Hawaii, Guam | Office Unavailable | Facility $892.84 |
| Houston | Office Unavailable | Facility $919.74 |
| Idaho | Office Unavailable | Facility $812.47 |
| Indiana | Office Unavailable | Facility $815.91 |
| Iowa | Office Unavailable | Facility $804.13 |
| Kansas | Office Unavailable | Facility $809.96 |
| Kentucky | Office Unavailable | Facility $841.30 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $934.65 |
| Madera | Office Unavailable | Facility $883.62 |
| Manhattan | Office Unavailable | Facility $1019.88 |
| Merced | Office Unavailable | Facility $883.62 |
| Metropolitan Boston | Office Unavailable | Facility $958.18 |
| Metropolitan Kansas City | Office Unavailable | Facility $863.13 |
| Metropolitan Philadelphia | Office Unavailable | Facility $924.02 |
| Metropolitan St. Louis | Office Unavailable | Facility $869.59 |
| Miami | Office Unavailable | Facility $1033.37 |
| Minnesota | Office Unavailable | Facility $832.54 |
| Mississippi | Office Unavailable | Facility $816.61 |
| Modesto | Office Unavailable | Facility $883.62 |
| Montana** | Office Unavailable | Facility $884.95 |
| Napa | Office Unavailable | Facility $975.42 |
| Nebraska | Office Unavailable | Facility $805.07 |
| Nevada** | Office Unavailable | Facility $870.73 |
| New Hampshire | Office Unavailable | Facility $887.52 |
| New Mexico | Office Unavailable | Facility $875.68 |
| New Orleans | Office Unavailable | Facility $877.80 |
| North Carolina | Office Unavailable | Facility $831.36 |
| North Dakota** | Office Unavailable | Facility $832.75 |
| Northern Nj | Office Unavailable | Facility $973.08 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1052.61 |
| Ohio | Office Unavailable | Facility $857.35 |
| Oklahoma | Office Unavailable | Facility $830.44 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $924.60 |
| Portland | Office Unavailable | Facility $906.40 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $955.87 |
| Puerto Rico | Office Unavailable | Facility $887.40 |
| Queens | Office Unavailable | Facility $1013.73 |
| Redding | Office Unavailable | Facility $883.62 |
| Rest Of California | Office Unavailable | Facility $883.62 |
| Rest Of Florida | Office Unavailable | Facility $915.08 |
| Rest Of Georgia | Office Unavailable | Facility $866.70 |
| Rest Of Illinois | Office Unavailable | Facility $906.29 |
| Rest Of Louisiana | Office Unavailable | Facility $843.78 |
| Rest Of Maine | Office Unavailable | Facility $825.61 |
| Rest Of Maryland | Office Unavailable | Facility $886.52 |
| Rest Of Massachusetts | Office Unavailable | Facility $892.09 |
| Rest Of Michigan | Office Unavailable | Facility $868.02 |
| Rest Of Missouri | Office Unavailable | Facility $837.66 |
| Rest Of New Jersey | Office Unavailable | Facility $942.58 |
| Rest Of New York | Office Unavailable | Facility $842.57 |
| Rest Of Oregon | Office Unavailable | Facility $857.63 |
| Rest Of Pennsylvania | Office Unavailable | Facility $853.43 |
| Rest Of Texas | Office Unavailable | Facility $859.88 |
| Rest Of Washington | Office Unavailable | Facility $887.50 |
| Rhode Island | Office Unavailable | Facility $895.33 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $912.04 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $914.47 |
| Salinas | Office Unavailable | Facility $910.81 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $922.98 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1016.24 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1013.24 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1040.55 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1028.29 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $897.69 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $924.45 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $911.69 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $932.93 |
| Seattle (King Cnty) | Office Unavailable | Facility $966.77 |
| South Carolina | Office Unavailable | Facility $847.02 |
| South Dakota** | Office Unavailable | Facility $826.57 |
| Southern Maine | Office Unavailable | Facility $849.64 |
| Stockton | Office Unavailable | Facility $883.62 |
| Suburban Chicago | Office Unavailable | Facility $965.32 |
| Tennessee | Office Unavailable | Facility $814.51 |
| Utah | Office Unavailable | Facility $856.49 |
| Vallejo | Office Unavailable | Facility $971.10 |
| Vermont | Office Unavailable | Facility $838.29 |
| Virgin Islands | Office Unavailable | Facility $887.40 |
| Virginia | Office Unavailable | Facility $853.63 |
| Visalia | Office Unavailable | Facility $883.62 |
| West Virginia | Office Unavailable | Facility $880.25 |
| Wisconsin | Office Unavailable | Facility $810.36 |
| Wyoming** | Office Unavailable | Facility $862.20 |
| Yuba City | Office Unavailable | Facility $883.62 |
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27702 billing questions
How is this different from 27703?
This code is for a primary total ankle replacement with an implant. Use 27703 for revision of a total ankle replacement, including removal of the implant.
Does this code include the ankle implant?
Yes. The service reported is a total ankle replacement in which an implant is placed. The operative report should support implant placement.
What global care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How is bilateral total ankle replacement reported?
When the procedure is performed bilaterally, modifier 50 is paid at 150% under the CMS rule supplied for this code.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
What happens when another procedure is done in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,01227696,,Repair of ankle ligaments,A,,8.37,5.79,NA,5.79,,1.12,15.28,15.28,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01327698,,Repair of ankle ligament,A,,9.37,7.00,NA,7.00,,1.50,17.87,17.87,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01427700,,Revision of ankle joint,A,,9.42,8.62,NA,8.62,,2.00,20.04,20.04,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01527702,,Reconstruct ankle joint,A,,14.06,9.80,NA,9.80,,2.64,26.50,26.50,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01627703,,Reconstruction ankle joint,A,,16.52,10.82,NA,10.82,,3.13,30.47,30.47,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01727704,,Removal of ankle implant,A,,7.61,6.93,NA,6.93,,1.31,15.85,15.85,0,090,0.10,0.69,0.21,2,1,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,01827705,,Osteotomy tibia,A,,10.59,8.19,NA,8.19,,1.96,20.74,20.74,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00